NPI | 1518473875 |
---|---|
Doing Business As | VAUGHN PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | LAURA VAUGHN Sole Member 617-501-3934 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: KS 61062) |
Enumeration Date | 2017-12-22 |
Last Update Date | 2021-04-15 |